Individual provider Active NPI

Parker Allen Drake, PT

  • Physical Therapist
  • Frankfort, IN
National Provider Identifier
1306551155
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05014439A Issued in IN
Practice address
2485 E Wabash St Ste 100
Frankfort, IN 46041-9400
Phone
(765) 659-7400
Fax
(765) 659-7408
NPI assigned
Jan 17, 2023
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05014439A IN Primary

Addresses

Primary practice location

2485 E Wabash St Ste 100
Frankfort, IN 46041-9400

Mailing address

2605 N Lebanon St
Lebanon, IN 46052-1476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230208001121 IN Practitioner - Physical Therapist in Private Practice 8820460439 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

965 Emerson Pkwy
Suite G
Greenwood, IN 46143-6274
Phone (317) 324-3765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Witham Memorial Hospital Current Accepting new patients
RWW Outpatient Rehab Services, LLC Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients
RWW Outpatient Rehab Services, LLC Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients
Witham Memorial Hospital Physical Therapist CurrentSince Jan 30, 2023 Accepting new patients
Witham Memorial Hospital Physical Therapist CurrentSince Jan 30, 2023 Accepting new patients

Locations

2485 E Wabash St
Ste 100
Frankfort, IN 46041
Phone (765) 485-8100

965 Emerson Pkwy
Ste G
Greenwood, IN 46143
Phone (317) 324-3765

2505 N Lebanon St
Ste 220
Lebanon, IN 46052
Phone (765) 482-8649

2605 N Lebanon St
Lebanon, IN 46052
Phone (765) 485-8000

400 N Mount Zion Rd
Lebanon, IN 46052
Phone (765) 335-0123

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1306551155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 E WABASH ST STE 100",
            "city": "FRANKFORT",
            "state": "IN",
            "postal_code": "460419400",
            "telephone_number": "765-659-7400",
            "fax_number": "765-659-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "PARKER",
        "middle_name": "ALLEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05014439A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.